This lady in her late 20s had hair loss from wearing tight braids for many years. She stopped wearing braids and heavy extensions. She used light and loose extensions, created bangs from hair above her hairline, and wore scarves or headbands to hide her hairline.
Patients with coarser, very curly hair usually do not have dense donor hair. She could not safely transplant enough grafts in one session to cover the whole area well. While I would usually recommend building her hairline forward in 2 steps, she preferred to commit to 2 sessions from the beginning, start with her hairline, and to continue wearing scarves to cover the gap until the hair from her second session grew.
She had 1 session of 2166 grafts transplanted at about 45 grafts per square cm in her frontal hairline and 42 in her temporal hairlines. She had planned to have her second session sooner but it was a year later that she had 2240 grafts transplanted at 36 grafts per square cm to close the remaining gap.
I was concerned that the extensions could cause further Traction Alopecia but they are actually very light weight and are fastened to loose twists. She did not include the transplanted hair in the extensions and plans to stop using the extensions after her transplanted hair grows longer. |
